Fortis Bannerghatta Road: Complex Bilateral Hip Replacement for 38-Year-Old Visually Impaired Man with Hip and Shoulder Fractures

Fortis Bannerghatta Road: Complex Bilateral Hip Replacement for 38-Year-Old Visually Impaired Man with Hip and Shoulder Fractures

Anantapur, 30 September 2024Fortis Hospital, Bannerghatta Road successfully treated a 38-Year-Old visually impaired man who had sustained severe injuries, including multiple complex fractures in both hips and his shoulder, following a fall from chair while at his shop. The team of doctors’ led by Dr Mohan K. Puttaswamy, Senior Consultant Orthopaedics, Fortis Bannerghatta Road, Bengaluru performed an intricate bilateral hip replacement surgery, and the patient was discharged in stable condition after a 12-day hospital stay.

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The patient, Rakesh (name changed), was visually impaired and facing challenges in performing daily tasks, suffered additional complications following the accident. The fall resulted in bilateral hip fractures and a shoulder fracture, leaving him completely immobile. Initially admitted to a local hospital after the accident, he was transferred overnight to Fortis Hospital, Bannerghatta Road for advanced treatment.

Thorough medical evaluation indicated that he had sustained severe injuries to his both hip joints and a fracture in his left shoulder. Given the patient’s multiple co-morbidities, including diabetes, renal failure, and visual impairment, a multidisciplinary team of doctors—including anaesthetists, intensivists, nephrologists, and orthopaedic surgeon—decided to proceed with a staged bilateral hip replacement surgery. The goal was to restore mobility, alleviate pain, and ensure a quicker recovery through meticulous management of his injuries.

Giving details of the surgery, Dr Mohan K Puttaswamy, Senior Consultant-Orthopaedics, Fortis Hospital, Bannerghatta Road, Bengaluru said, “This case was highly complex owing to the multiple co-morbidities suffered by the patient. These factors significantly increased the surgical risks. The patient presented with fractures in both hips and the left shoulder, necessitating a carefully planned approach. To address the bilateral hip fractures, we opted for a staged bilateral hip replacement due to the complexity and inherent risks of performing both replacements simultaneously.”

“We first replaced one hip, allowing the patient to stabilize and regain some mobility. A week later, we performed the second hip replacement. This phased approach was critical to minimizing surgical stress and ensuring the patient’s stability throughout the process. After successfully addressing the hip fractures, we then treated the shoulder fracture. Given the patient’s renal failure, we employed a conservative blood management strategy during the surgeries to reduce transfusion needs and minimize strain on the kidneys, which was essential considering his potential need for a kidney transplant in the future.” Dr Puttaswamy added

Mr. Akshay Oleti, Business Head, Fortis Hospitals, Bengaluru said“At Fortis Hospitals, we are committed to delivering personalized, high-quality medical care. We are proud to have achieved a significant milestone with Rakesh’s case, successfully performing a complex bilateral total hip replacement surgery using advanced techniques and state-of-the-art medical technology. This accomplishment highlights our team’s expertise and innovative approach, allowing us to provide transformative treatment and make a meaningful impact on our patients’ lives.”

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